Late Right Coronary Ostium Occlusion After Percutaneous Aortic Paravalvular Leak Closure: Immediate Results Do Not Always Predict Long-Term Performance

J Invasive Cardiol. 2016 Aug;28(8):E69-70.

Abstract

We present an 83-year-old woman with history of two aortic valve replacements; 2 years after the last replacement, she developed heart failure and severe paravalvular leak (PVL) was detected. Percutaneous PVL closure was completed with a single Amplatzer Vascular Plug III. Two months later, the patient presented with late coronary obstruction requiring emergent surgical revascularization. To the best of our knowledge, this is the first report of late coronary obstruction after percutaneous PVL closure.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / pathology
  • Aortic Valve Insufficiency* / diagnosis
  • Aortic Valve Insufficiency* / etiology
  • Aortic Valve Insufficiency* / physiopathology
  • Aortic Valve Insufficiency* / surgery
  • Aortic Valve Stenosis / surgery*
  • Coronary Occlusion* / diagnosis
  • Coronary Occlusion* / etiology
  • Coronary Occlusion* / physiopathology
  • Coronary Occlusion* / surgery
  • Echocardiography, Three-Dimensional / methods
  • Female
  • Heart Valve Prosthesis Implantation* / adverse effects
  • Heart Valve Prosthesis Implantation* / methods
  • Humans
  • Long Term Adverse Effects* / diagnosis
  • Long Term Adverse Effects* / etiology
  • Long Term Adverse Effects* / physiopathology
  • Myocardial Revascularization / methods*
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / physiopathology
  • Postoperative Complications* / surgery
  • Prosthesis Failure
  • Reoperation / adverse effects
  • Reoperation / methods
  • Septal Occluder Device / adverse effects*
  • Sinus of Valsalva / diagnostic imaging
  • Sinus of Valsalva / physiopathology
  • Treatment Outcome